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The mechanisms are the same as what happens in the face: reduced fat support combined with collagen and elastin that needs time and help to catch up

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10,11,12 Multiple studies have found that the BMD of AN patients in the active phase is lower than that of healthy controls, with a decrease of 16% in the lumbar spine, 18% in the femoral neck, and 23% in the total hip

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PKA also has been shown to enhance glutamatergic transmission via phosphorylation of the -amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor glutamate receptor (GluR)1 subunit in the paraventricular nucleus of the hypothalamus [37]

May your receptors stay sensitive, your plateaus stay temporary, and your progress stay consistent.